| NPI | 1689159220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-32378) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-18-32378) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2022-12-02 |